{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T10:48:31Z","timestamp":1792752511733,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T00:00:00Z","timestamp":1650499200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Evidence shows that depressive symptoms during pregnancy increase the risk of an intervention during delivery (induction, the use of forceps or vacuum, and caesarean sections (CS)). Many women with depression during pregnancy are not identified and therefore will not receive appropriate follow up of their symptoms. We hypothesised that routine screening for depressive symptoms during pregnancy could reduce detrimental consequences of depressive symptoms on delivery outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>We explored the association between screening for depressive symptoms during pregnancy and delivery outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A cross\u2010sectional analysis of state\u2010wide administrative data sets. The population included all women who delivered a singleton in Queensland between the July and December of 2015. Logistic regression analyses were run in 27\u2009501 women (93.1% of the total population) with information in all variables. The following were the main outcomes: onset of labour, CS, instrumental vaginal delivery, and all operative deliveries (including both CS and instrumental vaginal deliveries).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women who completed the screening had increased odds of a spontaneous onset of labour (adjusted odds ratio (aOR) 1.18; 95% CI 1.09\u20131.27) and decreased odds of an operative delivery (instrumental or CS) (aOR 0.88; 95% CI 0.81\u20130.96). Among women who had a vaginal delivery, those who completed the screening had decreased odds of having an instrumental delivery (aOR 0.84; 95% CI 0.74\u20130.97). Sensitivity analyses in women who did not have a formal diagnosis of depression showed similar results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings suggest that screening may decrease interventions during delivery in women with depressive symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13534","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T06:56:21Z","timestamp":1650610581000},"page":"838-844","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Association between screening for antenatal depressive symptoms and delivery outcomes: The Born in Queensland Study"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0140-175X","authenticated-orcid":false,"given":"Macarena A.","family":"San Martin Porter","sequence":"first","affiliation":[{"name":"Institute for Social Science Research University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4021-2924","authenticated-orcid":false,"given":"Steve","family":"Kisely","sequence":"additional","affiliation":[{"name":"School of Medicine University of Queensland, Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Departments of Psychiatry, Community Health and Epidemiology Dalhousie University  Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8986-9735","authenticated-orcid":false,"given":"Caroline","family":"Salom","sequence":"additional","affiliation":[{"name":"Institute for Social Science Research University of Queensland  Brisbane Queensland Australia"},{"name":"Australian Research Council Centre of Excellence for Children and Families over the Life Course The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5855-1911","authenticated-orcid":false,"given":"Kim S.","family":"Betts","sequence":"additional","affiliation":[{"name":"School of Population Health Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9240-3450","authenticated-orcid":false,"given":"Rosa","family":"Alati","sequence":"additional","affiliation":[{"name":"Institute for Social Science Research University of Queensland  Brisbane Queensland Australia"},{"name":"School of Population Health Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61277-0"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0169907"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000183597.31630.db"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.187179"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2008.1352"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03334.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-200109000-00017"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0119018"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002494"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12348"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0148343"},{"key":"e_1_2_6_13_1","unstructured":"Australian Institute of Health and Welfare.Australia's mothers and babies 2015\u2014in brief Canberra: AIHW;2017Available from:https:\/\/www.aihw.gov.au\/getmedia\/728e7dc2\u2010ced6\u201047b7\u2010addd\u2010befc9d95af2d\/aihw\u2010per\u201091\u2010inbrief.pdf.aspx?inline=true."},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2019.03.004"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.18392"},{"key":"e_1_2_6_16_1","unstructured":"AustinM\u2010P HighetN.The beyondblue Clinical Practice Guidelines for Depression and Related Disorders \u2014 Anxiety Bipolar Disorder and Puerperal Psychosis \u2014 in the Perinatal Period. 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